Ambulatory Peds Flashcards
1
Q
Normal growth
A
- First year: 9-11 inches (23-27 cm), fastest rate of growth
- Prepubertal growth: 2 in/year slowest rate of growth
- Puberty total growth: boys 4-6 in, girl 3-5in
2
Q
Abnormal growth
A
- When did growth deviate
- Is wt gain an issue
- Is there still a problem
3
Q
Growth in infancy
A
- Reach channel for target growth 18-21 months
- Thyroid & growth hormones important
- Chronic illness in infancy & psychosocial nurturing
4
Q
Growth in adolescence
A
- Age of puberty is variable, girls: 7-13, boys: 9-14
- Sex, growth & thyroid hormones important
- Girls grow to bone age of 15
- Boys grow to bone age of 18
5
Q
Birth weight stats:
A
- 2 weeks- regain
- Double at 5 months
- Triple at 1 yr
- 1 once per day for 1st 4 months
6
Q
Screenings
A
- Infant: Hip dysplasia, fontanelles
- School age: scoliosis
- Adolescence: tanner
7
Q
6 months
A
- Sit with no support
- Turn to voice
- Feed self
8
Q
1 year
A
- Stand alone, block in cup, babble
9
Q
15 months
A
Walk well
- Stoop & recover
- 1-3 words
10
Q
2 ys
A
- throw ball
- jump
11
Q
2 ys
A
- throw ball
- jump
12
Q
Failure to thrive
A
13
Q
Short stature
A
Normal variant
- Appropriate for family, grows in linear fashion
14
Q
Dentition
A
- 1st eruption at 6 months
- Central incisors first, molars last
- Lower before upper
15
Q
Immies at birth
A
Hep B
